| NPI | 1134895543 |
|---|---|
| Doing Business As | DESERT CANYON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TRAVIS JACKMAN Owner/ PIC 435-900-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |